Active NPI
Amy Renee Beasley, CRNA
- Certified Registered Nurse Anesthetist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0001168707
- Practice address
- 1 Jarrett White Road
Tripler Army Medical Center
Honolulu, HI 96859 - Phone
- (757) 739-1215
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0001168707 | VA | Primary |
Addresses
Primary practice location
1 Jarrett White Road
Tripler Army Medical Center
Honolulu, HI 96859
Mailing address
1294D Moanalualani Court
Honolulu, HI 96819
Phone (757) 739-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191219002890 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012341365 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
4300 University Pkwy
Evans, GA 30809-3063
Phone (706) 721-8623
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
- Wellstar MCG Health, Affiliated With Med Col
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001168707 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Southeast LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Consultants of Augusta, PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Au Medical Associates Anesthesia Billing Services, LLC | Current | Accepting new patients | |
| Gastroenterology Consultants of Augusta, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Anesthesia and Pain Medicine | Past | Accepting new patients |
Locations
1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011
915 Russell St
Augusta, GA 30904
Phone (706) 737-4255
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000
4300 University Pkwy
Evans, GA 30809
Phone (706) 721-8614
393 N Belair Rd
Evans, GA 30809
Phone (706) 854-8934
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1487107157
GA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1801843933
GA
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Anesthesiology Physician
- Evans, GA
- NPI 1255974226
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Augusta, GA
- NPI 1265482582
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1407159189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1294D MOANALUALANI COURT",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "757-739-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE ROAD",
"address_2": "TRIPLER ARMY MEDICAL CENTER",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96859",
"telephone_number": "757-739-1215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "AMY",
"middle_name": "RENEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0001168707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.